EHRs were a hot topic at the 88th annual American Health Information Management Association’s (AHIMA) conference held October 16-19 in Baltimore, MD. Various sessions addressed ways in which health information management professionals working in physician practices and hospitals can help mitigate risk, engage patients, and develop best practices.
Copy and paste/cloned documentation—and its effect on data integrity and clinical care—were mentioned frequently.
Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, independent coding and reimbursement consultant, said auditors increasingly review multiple records for the same patient over time—making it easy to spot documentation that’s repeatedly cloned.
